Individual
JENNIFER SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5803
(757) 430-8739
Mailing address
2117 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002707
VA
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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